inforMED
MalfunctionGCD

ACUNAV SWIFTLINK CABLE

Received Apr 4, 2017 · Event occurred Mar 10, 2017

Report 3009498591-2017-00131 · MDR key 6458045

Device

Generic name

Catheter Connector

Catalog number

08255715

Lot number

N/A

Product problems

  • Connection Problem
  • Connection Problem

Patient

Not reported

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

THE DEVICE REFERENCED IN THIS REPORT HAS NOT BEEN RETURNED TO SIEMENS FOR EVALUATION. IF ADDITIONAL INFORMATION IS RECEIVED OR IF THE DEVICE IS RETURNED AT A LATER DATE, THIS REPORT WILL BE SUPPLEMENTED.

Description of Event or Problem

IT WAS REPORTED THAT WHILE THE PATIENT WAS IN THE OPERATING ROOM (OR) IN THE MIDDLE OF UNDERGOING AN INTRACARDIAC ECHOCARDIOGRAPHY (ICE) STUDY, THE CATHETER AUTOMATICALLY FROZE AND CANNOT KEEP ACTIVE IMAGE AS SOON AS IT WAS CONNECTED TO THE ULTRASOUND SYSTEM. THE USER REBOOTED THE SYSTEM TWICE AND IT STILL FAILED. THE USER CHANGED TO ANOTHER SWIFTLINK ADAPTER AND REBOOTED THE SYSTEM AGAIN. THIS TIME THE SYSTEM WORKED AND THE STUDY WAS CONTINUED AND COMPLETED. THERE WAS NO LOSS OF DATA BUT THERE WAS A DELAY OF 20 MINUTES WHILE THE REPLACEMENT SWIFTLINK ADAPTER WAS OBTAINED. THERE WAS NO PATIENT ADVERSE EVENT REPORTED. NO ADDITIONAL INFORMATION WAS PROVIDED.

Additional Manufacturer Narrative

THIS SUPPLEMENTAL REPORT IS BEING SUBMITTED TO PROVIDE ADDITIONAL MANUFACTURER NARRATIVE. MANY ATTEMPTS WERE MADE TO REQUEST THE RETURN OF THE SWIFTLINK CABLE INVOLVED WITH THE REPORTED INCIDENT. WE DID NOT RECEIVE THE CABLE AND WERE UNABLE TO CONFIRM OR REPRODUCE THE ISSUE BASED ON THE INFORMATION PROVIDED. NO INVESTIGATION COULD BE PERFORMED.